Creative Nursing Leadership & Management

By Carolyn Chambers Clark

Learning Objectives

Part I: Theories of Leadership and Management

Chapter 1: Theories and Styles of Leadership

 Critically analyze one leadership situation

 List environmental and organizational trends
 Describe four leadership theories
 Differentiate transformational leadership from authentic leadership
 Describe two leadership theories that are especially important to nursing
 Assess your own transformational and authentic leadership qualities
 Discuss an emerging view of leadership
 Evaluate your own ability to be an adaptable leader
 Apply leadership theories to a simulated clinical setting

Advanced nurses will be able to:

 Teach at least three advanced nursing students about four leadership
theories.
 Design a problem statement for a research study focused on one leadership
theory.
 Develop a research design to answer your problem statement

Chapter 2: Theories and Styles of Management

 Critically analyze one management situation

 Describe the relationship between leadership and management
 Describe four management theories that can be applied to nursing
 Assess your own management qualities
 Identify management values and beliefs
 Simulate conveying an unpopular decision to staff
 Develop a personal philosophy of management
 Join an online nursing support group
 Interview two staff members about how their organization could be
improved
 Participate in an in-class simulation to help employees achieve a balance
between work and family life

Advanced nurses will be able to:

 Teach at least three advanced nursing students about 4 management
theories.
  Design a problem statement for a research study focused on one
management theory.
 Develop a research design to answer your problem statement

Part II: Basic Skills to Creatively Lead and Manage

Chapter 3: Role Transitioning

 Critically analyze one role transitioning situation

 List the assumptions of role theory
 Describe four paths to nursing leadership/management
 Identify ways a nurse can transition to a leadership role

Advanced nurses will be able to:

 Teach at least three nursing students about role transition
 Design a problem statement for a research study focused on role transition
 Develop a research design to answer your problem statement

Chapter 4: Managing Stress

 Explain the nature of stress at work

 Describe the health consequences of stressful work
 Explain how to use hardiness theory to reduce stress
 List three ways to use Bandura’s self-efficacy theory to reduce stress
 Try out different stress reduction measures

Advanced nurses will be able to:

 Teach peers stress reduction measures
 Develop a problem statement for a research study related to stress
 Develop a research design to answer your problem statement

Chapter 5: Managing Time

 Analyze one nurse leader’s time management skills

 Assess whether you exhibit characteristics of hurry sickness and time
urgency
 Identify inappropriate time management procedures and time traps
 Apply the steps of effective time management
 State two short-term and two long-term time management goals
 Develop two top-drawer and two bottom-drawer goals
 Break two long-term goals into manageable steps
 Apply approaches to overcoming procrastination
  Use at least four different ways to “make” time

Advanced nurses will be able to:

 Interview a nurse leader about time management
 Develop a time management program
 Role-play appropriate times to say no

Chapter 6: Critical Thinking

 Explain what critical-thinking skills are

 Describe the relationship between critical-thinking skills, problem solving,
and decision making
 Discuss the research on evaluating critical-thinking skills
 Choose appropriate action for two critical-thinking situations
 Identify the steps in the problem-solving process
 Develop three high-level critical-thinking questions
 Identify problem-solving assumptions
 Construct a design or system model
 Construct a structural or recipe model

Advanced nurses will be able to:

 Chart a group’s decision-making process
 Use the Six Hats technique to enhance group decisions
 Use algorithmic methods to solve a problem

Chapter 7: Communicating Effectively

 List ingredients of effective interpersonal communication

 Identify ways to use emotional intelligence to communicate with others
 Discuss three ways to enhance support during nurses’ intershift reports
 Describe strategies that are effective for communicating with various
generations in the workforce
 Identify ways to enhance collaborative communication with physicians
 Describe group communication methods

Advanced nurses will be able to:

 Develop a problem statement to study aspects of leader communication
 Teach communication skills to novice leaders
 Complete a small research project related to leader communication
Chapter 8: Managing Conflict

 Define conflict
 Compare and contrast conflict resolution models
 Analyze one example of nursing conflict
 Examine the concept of conflict in nursing work environments
 Identify sources of generational conflict
 Assess your conflict resolution skills
 Facilitate the development of conflict resolution skills in your staff

Advanced nurses will be able to:

 Teach conflict resolution skills to two clients, staff on a nursing unit, or a
group of colleagues
 Formulate a problem statement for a nursing project related to conflict
 Design a research project related to conflict

Chapter 9: Delegating

 Define delegation
 Discuss changes in healthcare delivery that make task delegation
important
 Identify the essential elements of effective delegation
 Determine whether state law and facility policies permit the delegation of
a specific task
 Decide when delegation is appropriate
 Discuss the procedure for delegating tasks to assistive personnel
 Analyze nursing delegation actions

Advanced nurses will be able to:

 Teach delegation skills to student nurses in an undergraduate leadership
course
 Formulate a problem statement for a nursing project related to delegation
 Design a research project related to delegation

Chapter 10: Acting Legally, Ethically, and Politically

 Discuss legal issues that impact nurse leaders

 Describe the relationship between legal, ethical, and political issues
 Discuss legal issues that impact the nursing profession
 Debate ethical issues affecting nursing practice
 Advanced nurses will be able to:
 Teach legal, ethical, and political skills to student nurses in an under-
graduate leadership course
 Formulate a problem statement for a nursing project related to a legal,
ethical, or political issue
 Design a research project related to a legal, ethical, or political issue

Part III: Advanced Skills to Creatively Lead and Manage

Chapter 11: Motivating and Team Building

 Discuss three motivational theories

 Apply motivational theories to specific nursing situations
 Describe nursing research on motivation
 Discuss stages of team development

Advanced nurses will be able to:

 Teach motivational and team-building skills to student nurses in an
undergraduate leadership course
 Formulate a problem statement for a nursing project related to motivation
or team building
 Design a research project related to motivation or team building

Chapter 12: Budgeting and Managing Resources

 List the financial/budget competencies required of nurse leaders

 Read a financial statement
 Develop a business plan
 Describe the budgeting process
 Apply budgeting principles to Leadership in Action vignettes
 Discuss the principles of three different types of budgets

Advanced nurses will be able to:

 Teach budgeting and resource management skills to student nurses in an
undergraduate leadership course
 Formulate a problem statement for a nursing project related to budgeting
or resource management
 Design a research project related to budgeting or resource management
Chapter 13: Demonstrating Effectiveness and Quality Care

 Discuss the National Healthcare Quality Report

 Describe uses for the National Database of Nursing Quality Indicators
 Give examples of healthcare outcomes research
 Describe uses of the Health Care Report Card Compendium
 Discuss how to use patient registries to determine healthcare effectiveness
 Describe disparities in healthcare provision
 Discuss the benchmarking process
 Describe client evaluations of the health care they received
 Apply healthcare effectiveness principles to Leadership in Action
vignettes
 Discuss the pros and cons of Magnet hospital accreditation and its
relationship to healthcare effectiveness

Advanced nurses will be able to:

 Teach effectiveness measurement skills to student nurses in an
undergraduate leadership course or to nurses on a unit
 Analyze a real or hypothetical benchmarking process
 Formulate a problem statement for a nursing project related to
demonstrating healthcare effectiveness
 Design a research

Chapter 14: Managing Change and Innovation

 Explain the nature of change in nursing

 Discuss planned-change theories and their relevance to nursing
 Assess your change agent capabilities
 Try out different change theory measures
 Discuss methods for dealing with resistance to change
 List innovation strategies

Advanced nurses will be able to:

 Teach peers or less experienced nurse leaders how to produce change
 Design a problem statement to study change or innovation
 Develop a research project to study change or innovation

Chapter 15: Using Information Technology

 Describe the importance of information technology to the transformation

of health care
 Discuss the relationship between evidence-based practice and nursing
informatics
  Explain why clinician input is necessary for system selection and
implementation
 Discuss the advantages of electronic health records
 Describe how to optimize clinical use of handheld technology
 Analyze seven strategies for managing technological change and involving
staff in the process

Advanced nurses will be able to:

 Teach peers or less experienced nurse leaders how to use information
technology
 Design a problem statement to study an informatics issue
 Develop a research project to study an informatics issue

Part IV: Creatively Managing Human Resources

Chapter 16: Staffing and Nurse Retention

 Describe the relationship between the nursing shortage and staffing

 Discuss the relationship between quality of care and staffing
 Debate the cost-effectiveness of staffing ratios
 Analyze the staffing needs of one unit
 Discuss critical issues in retaining nurses
 Discuss nursing theories that explain nurse retention

Advanced nurses will be able to:

 Teach peers or less experienced nurse leaders how to analyze staffing
needs and retain nursing staff
 Design a problem statement to study a staffing issue
 Develop a research project to study a staffing issue

Chapter 17: Recruiting and Interviewing

 Describe the process of recruitment

 Discuss the practice of conducting regular employee satisfaction surveys
as a recruitment approach
 Debate the use of staff nurses’ cars for recruitment
 Discuss steps in recruiting and retaining top-level staff
 Describe basic measures used to judge recruitment efforts
 Analyze the interview process

Advanced nurses will be able to:

 Teach peers or less experienced nurse leaders about recruitment and
interviewing practices
  Design a problem statement to study a recruitment or interviewing issue
 Develop

Chapter 18: Establishing a Healthy Environment

 Describe physical factors that make for a healthy environment

 Discuss the hallmarks of a healthy, professional nursing practice
environment
 Describe how authentic leaders create a healthy work environment
 Analyze how employee engagement relates to a healthy working
environment

Advanced nurses will be able to:

 Teach peers or less experienced nurse leaders how to build a healthy
environment
 Design a problem statement to study an aspect of a healthy environment
 Develop a research project to study an aspect of a healthy environment

Chapter 19: Developing Staff

 Describe the elements in developing effective learning systems

 Discuss the developmental needs of new RNs
 Describe how a novice leader program develops new RNs
 Discuss research that details how nurse executives prepare new nurse
leaders
 Analyze why training in computers and electronic resources should be part
of staff development efforts
 Discuss the importance of developing nurse practitioners’ leadership skills
 Describe the LEAD Project for minority nurses
 Discuss the work of leadership development coordinators
 Analyze failure disclosure as a way to develop leaders

Advanced nurses will be able to:

 Teach less skilled nurse leaders about staff development
 Develop a problem statement for a research study focused on staff
development
 Develop a research project for a problem statement focused on staff
development

Chapter 20: Evaluating Staff Performance and Ensuring Quality

 Try out performance appraisal approaches

  Discuss the use of simulations to improve performance leadership
 Describe a clinical practice development model to measure nursing
practice
 Analyze nursing situations that can affect quality of care

Advanced nurses will be able to:

 Teach less skilled nurse leaders about evaluating performance and
improving quality of care
 Develop a problem statement for a research study focused on evaluating
performance and improving quality of care
 Develop a research project for a problem

Chapter 21: Coaching and Mentoring

 Discuss the difference between coaching and mentoring

 Describe coaching interventions with staff nurses
 Discuss Kramer’s reality shock theory and its relationship to coaching and
mentoring

Advanced nurses will be able to:

 Teach less skilled nurse leaders about coaching and mentoring
 Develop a problem statement for a research study focused on coaching or
mentoring
 Develop a research project for a problem statement focused on coaching
or mentoring

Chapter 22: Reducing Workplace Violence

 Discuss the statistics on workplace violence

 Describe environmental designs that can reduce workplace violence
 Analyze administrative controls to reduce workplace violence
 Discuss how to respond to an immediate threat of workplace violence
 Describe suggested ways to deal with the consequences of workplace
violence
 Discuss measures nurses can use and teach staff to use to reduce
workplace violence

Advanced nurses will be able to:

 Teach less advanced nurse leaders about workplace violence
 Design a problem statement focused on workplace violence
 Prepare a research project focused on some aspect of workplace violence
Chapter 23: Succession Planning

 Describe the challenges of succession planning

 Discuss the statistics on succession planning
 Describe different perspectives on succession planning
 Analyze strategies and tactics for effective succession planning

Advanced nurses will be able to:

 Teach less advanced nurse leaders about succession planning
 Design a problem statement focused on succession planning
 Prepare a research